Chaunceya Grissom

NPI #1073375028 in Dayton, Ohio

Provider Information

NPI Number: 1073375028
Entity Type: Individual
Name: Chaunceya Grissom
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 25, 2024
Last Updated: Jan 25, 2024

Practice Location

Address: 600 WAYNE AVE
City: Dayton
State: Ohio
ZIP Code: 45410-1122
Phone: (937) 496-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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